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General NPI Number Information
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NPI Number | 1053396937
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Entity Type | Individual
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Provider Name | FRANK P CASERTA M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/13/2005
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Last Update Date | 09/05/2018
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Provider Practice Location Address
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Address Line | 2600 S. RURAL RD. SUITE B
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City | TEMPE
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State | AZ
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Zip | 85282-2448
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Country | US
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Telephone | 480-967-3381
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Fax | 480-967-0755
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Provider Business Mailing Address
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Address Line | 2600 S. RURAL RD SUITE B
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City | TEMPE
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State | AZ
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Zip | 85282-2448
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Country | US
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Telephone | 480-967-3381
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Fax | 480-967-0755
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 25755
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License Number State | AZ
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